| NPI | 1912349242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084994) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082496-1) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-02-13 |